Soft tissue metastasis in basal cell carcinoma

Basal cell carcinoma (BCC) is the most common of the cutaneous malignancies, accounting for 65-75% of all skin cancers. The natural history of this disease is one of chronic local invasion. Metastatic BCC Is a rare clinical entity, with a reported incidence of only 0.0028-0.5%. Approximately 85% of all metastatic BCCs arise in the head and neck region. We present a case of BCC that spread to the muscles of the cheek and nodes (intraparotid and internal jugular), in a man who had a lesion near the inner canthus of his right eye and adjoining nasal bridge.